颈动脉海绵窦瘘的诊治分析

Analysis of diagnosis and treatment of carotid cavernous fistula

目的探讨颈动脉海绵窦瘘(CCF)的临床特点、影像学诊断价值和介入治疗的效果。方法回顾性分析13例CCF患者的临床表现、影像学特点及介入治疗情况。结果 13例患者的临床表现均以眼科症状为主,分别行B超、CT或MRI检查时发现,其中12例行数字减影血管造影(DSA)确诊并以介入治疗。12例患者介入治疗后瘘口完全闭塞,临床症状和体征不同程度的改善。结论特征性眼部表现结合眼部B超、CT、MRI等影像学检查可确诊CCF。DSA检查及介入治疗仍是目前最理想的诊断和治疗方法。

Objective To investigate the clinical features,the value of imaging diagnosis and interventional therapy of carotid cavernous fistula（CCF）.Methods The clinical manifestations,imaging features and interventional therapy of 13 cases of patients with CCF were retrospectively analyzed.Results Ocular signs and symptoms are the main clinical manifestations of CCF.13 cases underwent B-ultrasonography,Multi-slice spiral CT or MRI scan,12 cases were confirmed by Digital subtraction angiography（DSA）.Treated by interventional therapy,the fistula disappeared,clinical symptoms and signs of CCF were improved.Conclusion Characteristic ocular findings and imaging features of B-ultrasonography,Multi-slice spiral CT or MRI scan can confirm the diagnosis of CCF.DSA and interventional therapy is still the ideal method of diagnosis as well as treatment of CCF.